Provider Demographics
NPI:1467143016
Name:BALDWIN, TAMMY DELANE (RBT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:DELANE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:ROBEY
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:7801 CREEK WOOD CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-2403
Mailing Address - Country:US
Mailing Address - Phone:469-545-9780
Mailing Address - Fax:
Practice Address - Street 1:3601 MAPLESHADE LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5753
Practice Address - Country:US
Practice Address - Phone:469-518-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-22-246734106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician